Jurisprudence
Exam
,Mrs Johnston, a frail elderly client with multiple co-morbidities, has recently developed
pneumonia requiring admission to an acute care facility. Suzanne, a RPN is assigned to
care for mrs. johnston in collaboration with a RN. The family approaches the RN and
demand that only RNs care for their mother. How should the RN respond?
A) Respect the family's wishes and ask the charge nurse to adjust the nursing
assignment
B) Inform the RPN that a change in assignment is necessary due to the acute
pneumonia
C) Refer the family to the facility's client representative for support to have the
assignment changed
D) Explain to the family that the RPN is capable of caring for their mother with RN
support - CORRECT ANSWERS-D
A nurse documents all the care provided during the workday at the end of the shift.
Which documentation standard has the nurse breached ?
A) Care must be documented immediately after it occurs
B) Documentation must be relevant to client care
C) Documentation must be comprehension
D) Care must be documented in a timely manner - CORRECT ANSWERS-D
Which one of the following actions by a nurse demonstrates unequal power in the
nurse- client relationship?
A) Administering an antibiotic as ordered
B) Assisting a client with personal care
C) Informing a client of a toileting schedule
D) Expressing empathy for a client - CORRECT ANSWERS-C
According to the CNO practice standard: Ethics, which one of the following terms
represents an ethical value related to client choice?
A) Self-esteem
B) self worth
C) self respect
D) self determination - CORRECT ANSWERS-D
A nurse is assigned a client with complications following a therapeutic abortion which is
in direct conflict with the nurses values and religious beliefs. What action should the
nurse take in this situation
A) reconsider her or his beliefs
B) find another nurse to care for the client
C) inform the client about his or hers personal beliefs
D) refused assignment and discontinue services for the client - CORRECT ANSWERS-
B
Which of the following situations would represent a concern about exceeding the
boundaries of the therapeutic nurse client relationship?
, A) a nurse introduces herself or himself to the client by name and professional
designation
B) A nurse reveals to the healthcare team a secret shared by the client that is relevant
to the plan of care
C) A client asked the nurse to address him by his middle name because that is what all
his friends call him
D) a client is willing to speak only with his primary nurse and refuses to speak with other
nurses - CORRECT ANSWERS-D
A nursed disagrees with the clients decision to terminate a pregnancy for genetic
reasons and wishes to discontinue nursing care. What should the nurse do first?
A) discuss changing the clients plan of care with the healthcare team
B) Attempt to convince the clients family that there are other options
C) consult with a nursing colleague to clarify the nurses on values
D) Report the plan of care to the ethics review committee - CORRECT ANSWERS-C
The nurse has a client who does not speak or understand English or French. Family
members, acting as the interpreters, have stated that the client would not want to know
his prognosis. What is the nurses responsibility in this situation?
A) respect the wishes of the family and do not disclose this information
B) encourage the family members to reconsider their position
C) involve a non-family member as an interpreter to confirm the clients wishes
D) consult with the client physician - CORRECT ANSWERS-C
NP has written an order for influenza immunization at a local clinic what should the RPM
do?
A) implement the order
B) request that RN administer the injection
C) refused to administer the injection
D) Call the physician to confirm the order - CORRECT ANSWERS-A
When sharing health information, in which of the following scenarios is a nurse best
demonstrating confidentiality?
A) discussion with the clients family in private, without informing the client
B) Discussion with the clients employer, with the clients permission
C) discussion with any healthcare provider, without informing the client
D) Discussion with the client in a public area, with the clients permission - CORRECT
ANSWERS-B
What are the components of the therapeutic nurse client relationship
A) Respect, trust, professional intimacy, empathy, and power
B) Communication, cultural sensitivity, understanding, advocacy, and professionalism
C) Empowerment, compassion, tolerance, autonomy, and cooperation
D) Fairness, acceptance, sympathy, accountability, and collaboration - CORRECT
ANSWERS-A
Exam
,Mrs Johnston, a frail elderly client with multiple co-morbidities, has recently developed
pneumonia requiring admission to an acute care facility. Suzanne, a RPN is assigned to
care for mrs. johnston in collaboration with a RN. The family approaches the RN and
demand that only RNs care for their mother. How should the RN respond?
A) Respect the family's wishes and ask the charge nurse to adjust the nursing
assignment
B) Inform the RPN that a change in assignment is necessary due to the acute
pneumonia
C) Refer the family to the facility's client representative for support to have the
assignment changed
D) Explain to the family that the RPN is capable of caring for their mother with RN
support - CORRECT ANSWERS-D
A nurse documents all the care provided during the workday at the end of the shift.
Which documentation standard has the nurse breached ?
A) Care must be documented immediately after it occurs
B) Documentation must be relevant to client care
C) Documentation must be comprehension
D) Care must be documented in a timely manner - CORRECT ANSWERS-D
Which one of the following actions by a nurse demonstrates unequal power in the
nurse- client relationship?
A) Administering an antibiotic as ordered
B) Assisting a client with personal care
C) Informing a client of a toileting schedule
D) Expressing empathy for a client - CORRECT ANSWERS-C
According to the CNO practice standard: Ethics, which one of the following terms
represents an ethical value related to client choice?
A) Self-esteem
B) self worth
C) self respect
D) self determination - CORRECT ANSWERS-D
A nurse is assigned a client with complications following a therapeutic abortion which is
in direct conflict with the nurses values and religious beliefs. What action should the
nurse take in this situation
A) reconsider her or his beliefs
B) find another nurse to care for the client
C) inform the client about his or hers personal beliefs
D) refused assignment and discontinue services for the client - CORRECT ANSWERS-
B
Which of the following situations would represent a concern about exceeding the
boundaries of the therapeutic nurse client relationship?
, A) a nurse introduces herself or himself to the client by name and professional
designation
B) A nurse reveals to the healthcare team a secret shared by the client that is relevant
to the plan of care
C) A client asked the nurse to address him by his middle name because that is what all
his friends call him
D) a client is willing to speak only with his primary nurse and refuses to speak with other
nurses - CORRECT ANSWERS-D
A nursed disagrees with the clients decision to terminate a pregnancy for genetic
reasons and wishes to discontinue nursing care. What should the nurse do first?
A) discuss changing the clients plan of care with the healthcare team
B) Attempt to convince the clients family that there are other options
C) consult with a nursing colleague to clarify the nurses on values
D) Report the plan of care to the ethics review committee - CORRECT ANSWERS-C
The nurse has a client who does not speak or understand English or French. Family
members, acting as the interpreters, have stated that the client would not want to know
his prognosis. What is the nurses responsibility in this situation?
A) respect the wishes of the family and do not disclose this information
B) encourage the family members to reconsider their position
C) involve a non-family member as an interpreter to confirm the clients wishes
D) consult with the client physician - CORRECT ANSWERS-C
NP has written an order for influenza immunization at a local clinic what should the RPM
do?
A) implement the order
B) request that RN administer the injection
C) refused to administer the injection
D) Call the physician to confirm the order - CORRECT ANSWERS-A
When sharing health information, in which of the following scenarios is a nurse best
demonstrating confidentiality?
A) discussion with the clients family in private, without informing the client
B) Discussion with the clients employer, with the clients permission
C) discussion with any healthcare provider, without informing the client
D) Discussion with the client in a public area, with the clients permission - CORRECT
ANSWERS-B
What are the components of the therapeutic nurse client relationship
A) Respect, trust, professional intimacy, empathy, and power
B) Communication, cultural sensitivity, understanding, advocacy, and professionalism
C) Empowerment, compassion, tolerance, autonomy, and cooperation
D) Fairness, acceptance, sympathy, accountability, and collaboration - CORRECT
ANSWERS-A
